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Alaska rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $30.38 / $30.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $15.06 / $22.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $23.52 / $29.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.56 / $24.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $15.94 / $22.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $27.60 / $50.40